ETHIOPIAN CUSTOMS
COMMISSION
DECLARATION FORM
2024 / MOJ00 / 4 / 16383 1 DECLARATION A. CLEARANCE OFFICE MOJO Dry Port (MOJ)
2 Consignor/Exporter No Office Code Manifest Number
SHANGHAI XIETONG (GROUP) CO.,LTD IM 4 MOJ00
SHANGHAI,CHINA
3 Forms 4 Loading Lists Registration number & date Assessment number & date
1 2 4-016383 04/09/2024 A-017334 04/09/2024
5 Items 6 Tot. Pkgs. 7 Declarant Reference number Receipt number & date
2 21 2024 / HOL1222017
8 Consignee/Importer No 0000266411 No 10 Country of Last
9 Person responsible for financial settlement
YARED WIBSHET TEKLEMARIAM CN Consign.
X
ADDIS ABABA 11 Trading
country
15 Country of dispatch/export 15 C. disp./exp. code 17 Country destin. code
China a CN b a ET b AA
14 Declarant No 0000058054 16 Country of origin 17 Country of destination Section
HONEST TRADE ENTERPRISE PRIVATE LIMITED COMPANY China Ethiopia AM
RG: ADDIS ABABA ZN :KIRKOS
WR: NO WOREDA-142 KB :WOREDA 03 20. Delivery Terms Business Activity
FOB DJIBOUTI 02
18 Identity and nationality of means of transport at arrival 19 Ctr. 22 Currency and total amount invoiced 23 Exchange rate 24 Nature of
XXX X USD 235,680.00 117.4498 transactio
21 Identity and nationality of active means of transport crossing the border 28 Financial and banking data 24 Invoice Details
Bank Code Currency Amount
ZEB ZEMEN BANK Ex. Freight ETB 5,017,004.00
25 Mode of transport 26 Inland mode 27 Place of Loading
Branch Terms of Payment Insurance ETB 11,663.00
62 at the border 3 of transport Shekou Pt CNSHK
ZBH 1 BANK Other ETB 1,271,348.00
29 Office of entry/exit 30 Location of goods
B. P. number and date In. Freight ETB 494,018.00
GAL00 GALAFI (GAL) ZEBZBH01027832024 29/08/2024 Total ETB 6,794,033.00
31 Packages Marks & 32 Item 33 Commodity Code
and numbers 1 No 87036013 000 0000 0000
description
of goods TLLU8614151 APHU6945211 Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) BEAU4101803 CMAU5301341
20 VH Vehicle a CN b 30660
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
----New, Completely Built Up (CBU) Ex. Freight 4,745,803.00 4081 000 30660
BYD QIN PLUS DM-I 55KM Insurance 11,033.00 40 Summary declaration/Previous document / Way bill
Other Costs 1,202,623.00
In. Freight 467,313.00
41 Supplementary units 42 Item price 43 V.M.
44 Additional UNT 20 222,940.00 Code
License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes 1
013 001 004 005 006 168 008 081 031 032 033 007 034 510 510 46 Statistical Value
510 Proc. Program
32,611,030.00
Type Duty/Tax Base Rate Amount MP 48 Account No / Deferred Payment 49 Warehouse code / period
47 Taxes &
duties 01 32,611,030.00 25 8,152,758.00 1
03 40,763,790.00 5 2,038,189.00 1 Summary of Payables
05 42,801,980.00 10 4,280,198.00 1 Amount
12 32,611,030.00 0 0.00 1 Total duties & taxes 23,260,755.43
04 47,082,180.00 15 7,062,326.00 1 Guarantee amount 0.00
15 32,611,030.00 3 978,330.90 1 Total fees 0.00
16 32,611,030.00 0.07 22,828.00 1 Other 0.00
09 32,611,030.00 0.01 3,424.16 1 Total Payable 96,524.50
Total 22,538,054.06 1
50 Declaration C OFFICE OF DEPARTURE
I, KASSAHUN TASSEW TESEMA (AG1359), the undersigned of HONEST TRADE ENTERPRISE PRIVATE
LIMITED COMPANY RG: ADDIS ABABA ZN :KIRKOS WR: NO WOREDA-142 KB :WOREDA 03 do
hereby declare that the information and particulars declared are true and complete and accept fully the
condition and requirements attaching to the use of CPC declared here in and hold myself liable for any
inaccurate information.
Signature Date & stamp Address
52 Guarantee Code 53 Office of destination (and country)
not valid for
D CONTROL BY OFFICE OF DEPARTURE Stamp: 54 Place and date:
Result:
Seals affixed: Number:
Signature and name of declarant/representative
Identity:
KASSAHUN TASSEW TESEMA (AG1359)
Time limit (date):
Signature:
ETHIOPIAN CUSTOMS
COMMISSION
DECLARATION FORM - Continuation sheet
1 DECLARATION A. CLEARANCE OFFICE
8 Consignee/Importer No 0000266411 Office Manifest Number
YARED WIBSHET TEKLEMARIAM IM 4
MOJ00
X
ADDIS ABABA 3 Forms Registration number & date Assessment number & date
2 2 4-016383 04/09/2024 A-017334 04/09/2024
31 Packages Marks & 32 Item 33 Commodity Code
and numbers 2 No 87038030 000 0000 0000
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) 1 VH Vehicle a CN b 1380
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
--- Completely Built Up (CBU) form Ex. Freight 271,201.00 4081 000 1380
BYD E2 DULUXE EDITION Insurance 630.00 40 Summary declaration/Previous document / Way bill
Other Costs 68,724.00
In. Freight 26,705.00
41 Supplementary units 42 Item price 43 V.M.
44 Additional UNT 1 12,740.00 Code
License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes 1
168 330 Proc. Program 46 Statistical Value
Model 1,863,570.00
31 Packages Marks & 32 Item 33 Commodity Code
and numbers No
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) a b
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
Ex. Freight
Insurance 40 Summary declaration/Previous document / Way bill
Other Costs
In. Freight
41 Supplementary units 42 Item price 43 V.M.
44 Additional Code
License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes
Proc. Program 46 Statistical Value
Model
31 Packages Marks & 32 Item 33 Commodity Code
and numbers No
description
of goods Number & kind of packages 34 Country of origin Code 35 Gross Mass (kg) 36 Preference
Ctr.
No(s) a b
Description of goods 42 a 37 PROCEDURE 38 Net mass (kg) 39 Quota
Ex. Freight
Insurance 40 Summary declaration/Previous document / Way bill
Other Costs
In. Freight
41 Supplementary units 42 Item price 43 V.M.
44 Additional Code
License number Deducted Quantity Deducted Value
Information/ A.I. Code 45 Adjustment
Produced
documents Attached document codes
Proc. Program 46 Statistical Value
Model
Type Duty/Tax Base Rate Amount M Type Duty/Tax Base Rate Amount MP
47 Taxes &
duties 01 1,863,570.00 15 279,535.50 1
03 2,143,106.00 0 0.00 1
05 2,143,106.00 0 0.00 1
12 1,863,570.00 3 55,907.10 1
04 2,199,013.00 15 329,852.00 1
15 1,863,570.00 3 55,907.10 1
16 1,863,570.00 0.07 1,304.00 1
09 1,863,570.00 0.01 195.67 1
Total first item: 722,701.37 1 Total second item:
Type Duty/Tax Base Rate Amount M Type Amount M ← SUMMARY
01 8,432,293.50 1 C OFFICE OF DEPARTURE
03 2,038,189.00 1
05 4,280,198.00 1
12 55,907.10 1
04 7,392,178.00 1
15 1,034,238.00 1
16 24,132.00 1
09 3,619.83 1
Total third item: G.T. 96,524.50 1
ETHIOPIAN CUSTOMS
COMMISSION
DECLARATION FORM - List of Containers
1 DECLARATION A. CLEARANCE OFFICE
Office Manifest Number
IM 4
MOJ00
3 Forms 5 Items Registration number & date Assessment number & date
2 2 4-016383 04/09/2024 A-017334 04/09/2024
# Container Reference Item No Type E/F Other characteristics
1 TLLU8614151 1 45G1 1/1
2 APHU6945211 1 45G1 1/1
3 BEAU4101803 1 45G1 1/1
4 CMAU5301341 1 45G1 1/1
5 CMAU5386307 1 45G1 1/1
6 CMAU7872695 1 45G1 1/1
7 SEGU4608404 1 45G1 1/1
ETHIOPIAN CUSTOMS
COMMISSION
DECLARATION FORM - List of VINs
1 DECLARATION A. CLEARANCE OFFICE
Office Manifest Number
IM 4
MOJ00
3 Forms Registration number & date Assessment number & date
2 4-016383 04/09/2024 A-017334 04/09/2024
# Item No VIN Brand Model Condition Serial Capacity Year
1 1 LC0C76C49R4136309 LC0 (BYD AUTO) DM-I New vehicle * 2024
2 1 LC0C76C48R4140478 LC0 (BYD AUTO) DM-I New vehicle * 2024
3 1 LC0C76C46R4132413 LC0 (BYD AUTO) DM-I New vehicle * 2024
4 1 LC0C76C46R4116910 LC0 (BYD AUTO) DM-I New vehicle * 2024
5 1 LC0C76C46R4135909 LC0 (BYD AUTO) DM-I New vehicle * 2024
6 1 LC0C76C41R4149197 LC0 (BYD AUTO) DM-I New vehicle * 2024
7 1 LC0C76C43R4125547 LC0 (BYD AUTO) DM-I New vehicle * 2024
8 1 LC0C76C46R4149082 LC0 (BYD AUTO) DM-I New vehicle * 2024
9 1 LC0C76C43R4142140 LC0 (BYD AUTO) DM-I New vehicle * 2024
10 1 LC0C76C40R4151748 LC0 (BYD AUTO) DM-I New vehicle * 2024
11 1 LC0C76C45R4148988 LC0 (BYD AUTO) DM-I New vehicle * 2024
12 1 LC0C76C43R4135642 LC0 (BYD AUTO) DM-I New vehicle * 2024
13 1 LC0C76C43R4136158 LC0 (BYD AUTO) DM-I New vehicle * 2024
14 1 LC0C76C43R4135835 LC0 (BYD AUTO) DM-I New vehicle * 2024
15 1 LC0C76C45R4135819 LC0 (BYD AUTO) DM-I New vehicle * 2024
16 1 LC0C76C47R4140911 LC0 (BYD AUTO) DM-I New vehicle * 2024
17 1 LC0C76C49R4135788 LC0 (BYD AUTO) DM-I New vehicle * 2024
18 1 LC0C76C40R4135887 LC0 (BYD AUTO) DM-I New vehicle * 2024
19 1 LC0C76C44R4136072 LC0 (BYD AUTO) DM-I New vehicle * 2024
20 1 LC0C76C45R4119801 LC0 (BYD AUTO) DM-I New vehicle * 2024
21 2 LC0CE4DC9R0164537 LC0 (BYD AUTO) E2 New vehicle * 2024
